Brianna Jones
Twinsburg,OH
Summary
Dynamic professional with extensive experience at Advanced Dental Care of Streetsboro, excelling in insurance processing and claims management. Proven ability to enhance workflow efficiency and maintain HIPAA compliance. Skilled in scheduling and customer service, fostering strong relationships while ensuring patient confidentiality and accurate documentation. Committed to delivering exceptional administrative support.
Overview
9
9
years of professional experience
Work History
Business Assistant
Advanced Dental Care of Streetsboro
Streetsboro, USA
01.2023 - Current
- Manage daily administrative operations, including scheduling, billing, and patient communications.
- Coordinate provider schedules and optimize patient appointment efficiency.
- Process insurance claims and resolve billing inquiries, improving reimbursement rates.
- Maintain accurate patient records and implement electronic filing systems.
- Assist in inventory management and office event coordination.
Insurance Processor
Oscar Health
Phoenix, USA
10.2021 - 07.2024
- Processed insurance claims with expertise in medical coding (CPT, ICD-10) and revenue codes.
- Maintained strict HIPAA compliance while handling Personal Health Information (PHI).
- Monitored and tracked insurance operations, escalating and resolving workflow issues.
- Collaborated with vendors to ensure timely turnaround on claims and adjustments.
Document Preparation Clerk
MetaSource
Phoenix, USA
05.2023 - 03.2024
- Processed and scanned client applications for data entry and system integration.
- Ensured accuracy by verifying documentation and preparing records for processing.
Authorization Representative
First American
Phoenix, USA
04.2019 - 10.2021
- Reviewed and authorized repair/replacement claims up to $1,500.
- Interpreted contract language to determine claim eligibility and resolutions.
- Managed cash settlements, contractor dispatches, and pricing agreements.
- Communicated claim statuses and coverage details to policyholders.
Administrative Assistant
Biltmore Properties Inc.
Phoenix, USA
09.2018 - 03.2019
- Oversaw scheduling, correspondence, and documentation for business operations.
- Facilitated communication with external stakeholders to enhance vendor relations.
- Managed documentation processes to ensure accurate record-keeping and efficiency.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Facilitated communication between different departments within the organization.
Customer Care Representative / Team Lead
CVS
Chandler, USA
07.2016 - 09.2018
- Directed healthcare customer service team to enhance patient education and policy support.
- Resolved insurance deductibles, claims, and payment issues for customers.
- Facilitated training sessions to improve team knowledge on healthcare policies.
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Created monthly reports summarizing customer service activities including number of calls handled, resolution rate.
- Built sustainable relationships of trust through open communication with customers.
Education
Cosmetology License -
Empire Beauty School
Phoenix, AZ01.2019
Communications Coursework -
The University of Akron
Akron, OH01.2012
Diploma - Mass Media
Ohio Center For Broadcasting
Twinsburg, OH01.2010
High School Diploma -
Twinsburg High School
Twinsburg01.2007
Skills
- Practice transition coordination
- Client onboarding
- Insurance processing
- Claims management
- Administrative support
- Workflow optimization
- HIPAA compliance
- Patient confidentiality
- Scheduling
- Billing
- Payment processing
- Customer service
- Relationship management
- Data entry
- Reporting
- Documentation
- Microsoft Office
- Google Suite
- Jira
- Mac OS
- Time management
- Problem-solving
- Scheduling coordination
- Multitasking capacity
Timeline
Document Preparation Clerk
MetaSource
05.2023 - 03.2024
Business Assistant
Advanced Dental Care of Streetsboro
01.2023 - Current
Insurance Processor
Oscar Health
10.2021 - 07.2024
Authorization Representative
First American
04.2019 - 10.2021
Administrative Assistant
Biltmore Properties Inc.
09.2018 - 03.2019
Customer Care Representative / Team Lead
CVS
07.2016 - 09.2018
Cosmetology License -
Empire Beauty School
Communications Coursework -
The University of Akron
Diploma - Mass Media
Ohio Center For Broadcasting
High School Diploma -
Twinsburg High School
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